Top 132 Provider enrollment Jobs in Mcdonough Ga

Payor Enrollment Specialist
Aylo Health —Atlanta, GA
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
Quick Apply
7d
Patient Enrollment Specialist - Contractor
Aviary —Atlanta, GA
- $20 - $22 an hour
- Full-time
- Remote
- Cardiology
- Entry level
- Under 1 year
Medicaid Eligibility Specialist I (GA / Hybrid)
FreedomCare —Atlanta, GA
- $23 - $25 an hour
- Remote
- Home Health
- Business
- Associate's degree
- Health insurance
- Retirement plan
Quick Apply
Online Educator (Remote)
Hoot Reading —Atlanta, GA
- $18 - $20 an hour
- Part-time
- Remote
- School experience
- Computer literacy
- Mid-level
13d
Case Manager – Multi-Program Services
Positive Care —Stockbridge, GA
- Part-time
- Hybrid work
- Bilingual
- Experience working with individuals with developmental disabilities
- Computer literacy
Quick Apply
Associate Leave of Absence Analyst
TriNet —Atlanta, GA
- $24.81 - $37.21 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Salesforce
- Employee stock purchase plan
- Disability insurance
6d
Assistant Director of Special Education Compliance
Georgia Cyber Academy —Atlanta, GA
- Full-time
- Hybrid work
- Doctoral degree
- Office
- 3 years
Member Engagement Specialist (EST)
Tuesday Health —Atlanta, GA
- Remote
- Spanish
- Mid-level
- 3 years
- Paid holidays
- Health insurance
Quick Apply
Early Intervention/Inclusion Coordinator
The Frazer Center Inc. —Atlanta, GA
- $52,000 - $60,000 a year
- Full-time
- Classroom
- HIPAA
- Mid-level
Quick Apply
Field Support Representative, Client Services - Georgia
Sidecar Health —Atlanta, GA
- $50,000 - $52,000 a year
- Bilingual
- Driving
- Reliable transportation
- Paid holidays
- Health insurance
Solution Adoption Enrollment Specialist, Strategic Accounts
Waystar —Atlanta, GA
- Full-time
- Mid-level
- Commercial
- Paid parental leave
- Paid holidays
HealthCare Navigator
Positive Care —Stockbridge, GA
- Part-time
- Nursing
- Experience working with individuals with disabilities
- Military
Quick Apply
10d
Enrollment Specialist
Manulife —Atlanta, GA
- $39,500 - $65,800 a year
- Full-time
- Research
- Mid-level
- Finance
- AD&D insurance
- Paid holidays
Enrollment Support Coordinator
Waystar —Atlanta, GA
- Full-time
- Computer science
- Computer Science
- Mid-level
- Paid parental leave
- Paid holidays
13d
Deployment Operations Supervisor
CDW —Conyers, GA
- $81,000 - $113,000 a year
- Full-time
- Mid-level
- Windows
- Ability to lift 50 pounds
3d
Family Engagement Manager
Sheltering Arms —Atlanta, GA
- Full-time
- Master's degree
- Bachelor's degree
- Continuous improvement
Quick Apply
Compliance Specialist
Metro Atlanta YMCA —Atlanta, GA
- Full-time
- Background check
- Computer literacy
- Pass drug screening
Medical Licensing Specialist
Core Clinical Partners —Atlanta, GA
- Remote
- Customer service
- Mid-level
- High school diploma or GED
Quick Apply
3d
PTA Physical Therapy Assistant Home Health $7500 Sign on Bonus
Amedisys —College Park, GA
- $40 - $50 an hour
- Full-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
- Mileage reimbursement
- Paid parental leave
PTA Physical Therapy Assistant Home Health $7500 Sign on Bonus
Amedisys —College Park, GA
- $40 - $50 an hour
- Full-time
- CPR Certification
- BLS Certification
- Physical & Rehabilitation Medicine
- Mileage reimbursement
- Paid parental leave

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Payor Enrollment Specialist

Aylo Health -
Atlanta, GA

Quick Apply

Job Details

Full-time
7 days ago

Qualifications

Microsoft Excel
Microsoft Outlook
Medicare
Phone communication
Provider enrollment for medical credentialing
High school diploma or GED
Health insurance knowledge
Medicare regulations
Centers for Medicare and Medicaid Services (CMS)
Microsoft Teams
Medicaid regulations
Medicaid

Full Job Description

At Aylo Health, we work together to enrich the health and well-being of every life we touch. Our mission is to make quality healthcare simple and convenient. Because healthy people can do amazing things!

We offer a work environment that values the creation of lifelong relationships, while also providing opportunities for growth and career development. We strive to care for each other with the same passion with which we care for our patients. Aylo Health offers competitive pay to team members who provide high-quality care, while delivering an exceptional patient experience.

Position Summary

The Payor Enrollment Specialist is responsible for coordinating and managing the enrollment, revalidation, maintenance, and termination of providers and facilities with commercial and government payors. This position ensures providers are enrolled accurately and in a timely to support uninterrupted reimbursement and compliance with regulatory and contractual requirements.

The specialist works closely with providers, practice operations, credentialing staff, payors, and revenue cycle teams to monitor enrollment status, resolve issues, and maintain accurate provider data across all systems.

Location: Remote in Georgia; Occasional in office meetings in Marietta, GA.

Schedule: Full time Monday- Friday 8:00AM - 5:00PM

Key Responsibilities

Payor Enrollment Management

Prepare, complete, and submit provider and facility enrollment applications to commercial, Medicare, Medicaid, and managed care payors.

Manage new enrollments, revalidations, group affiliations, roster additions, demographic updates, and terminations.

Monitor application status and proactively follow up with payors to ensure timely processing.

Research and resolve enrollment delays, denials, and participation issues.

Maintain detailed documentation of all enrollment activities and communications.

Provider and Facility Data Maintenance

Ensure provider demographic information remains accurate across enrollment platforms and internal databases.

Submit updates related to provider locations, tax IDs, NPIs, licensure, ownership changes, and other required information.

Maintain provider records in credentialing and enrollment management systems.

Perform regular audits to verify data integrity and compliance.

Collaboration and Communication

Serve as a liaison between providers, practice leadership, credentialing teams, revenue cycle departments, and payors.

Provide timely updates regarding enrollment status and expected effective participation dates.

Assist with resolving network participation and reimbursement-related enrollment concerns.

Respond to provider and stakeholder inquiries regarding enrollment requirements and processes.

Compliance and Quality Assurance

Ensure enrollment activities comply with federal, state, accreditation, and payor requirements.

Maintain knowledge of Medicare, Medicaid, and commercial payor enrollment guidelines.

Support internal and external audits related to provider enrollment documentation.

Adhere to organizational policies, procedures, and confidentiality requirements.

Reporting and Performance Monitoring

Track enrollment metrics and maintain enrollment status reports.

Identify enrollment trends, bottlenecks, and opportunities for process improvement.

Assist leadership with reporting related to provider onboarding and enrollment performance.

Required Qualifications

Education

High School Diploma or GED required.

Associate's or bachelor's degree in healthcare administration, Business Administration, or related field preferred.

Experience

Minimum 2 years of experience in provider enrollment, credentialing, revenue cycle, or healthcare administration.

Experience working with commercial, Medicare, and Medicaid payor enrollment processes.

Experience using credentialing and enrollment software platforms preferred.

Knowledge, Skills, and Abilities

Knowledge of provider enrollment and credentialing principles and practices.

Familiarity with Medicare PECOS, NPPES, CAQH ProView, and state Medicaid enrollment systems.

Strong understanding of healthcare reimbursement and payor requirements.

Excellent organizational and time management skills.

Strong attention to detail and accuracy.

Effective written and verbal communication skills.

Ability to manage multiple priorities and deadlines in a fast-paced environment.

Proficiency with Microsoft Office Suite, including Excel, Word, Outlook, and Teams.

Preferred Qualifications

Certified Provider Credentialing Specialist (CPCS) designation or willingness to obtain certification.

Experience in a multi-specialty physician group, hospital system, or managed services organization.

Knowledge of provider onboarding and credentialing workflows.

Physical Requirements

Prolonged periods of sitting and computer use.

Ability to communicate effectively via phone, video conference, and email.

Occasional lifting of up to 15 pounds.

Success Metrics

Timely submission of enrollment applications.

Reduction in enrollment processing delays.

Accuracy of provider data and enrollment records.

Successful completion of revalidations and demographic updates.

Provider onboarding completed within established organizational timelines.

Maintenance of compliance with regulatory and payor requirements.

Equal Employment Opportunity Statement: The organization is committed to providing equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type

Aylo Health is an Equal Opportunity Employer

Quick Apply

Refine Your Search

provider enrollment jobs in mcdonough ga

Payor Enrollment Specialist

Patient Enrollment Specialist - Contractor

Medicaid Eligibility Specialist I (GA / Hybrid)

Online Educator (Remote)

Case Manager – Multi-Program Services

Associate Leave of Absence Analyst

Assistant Director of Special Education Compliance

Member Engagement Specialist (EST)

Early Intervention/Inclusion Coordinator

Field Support Representative, Client Services - Georgia

Solution Adoption Enrollment Specialist, Strategic Accounts

HealthCare Navigator

Enrollment Specialist

Enrollment Support Coordinator

Deployment Operations Supervisor

Family Engagement Manager

Compliance Specialist

Medical Licensing Specialist

PTA Physical Therapy Assistant Home Health $7500 Sign on Bonus

PTA Physical Therapy Assistant Home Health $7500 Sign on Bonus

I want to receive the latest job alert for provider enrollment in mcdonough ga

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